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Uterine Rupture

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81. Management of uterine rupture: a case report and review of the literature Full Text available with Trip Pro

Management of uterine rupture: a case report and review of the literature Maternal morbidity and mortality has been a major World Health Organization concern over the years, especially in sub-Saharan Africa. This paper reports uterine rupture with severe hypovolemic shock managed at the Douala General Hospital, Cameroon. Early clinical diagnosis is paramount to maternal survival.Mrs. MM aged 25 years, G3P2012, of the Bamileke tribe in Cameroon was admitted to our Department in hypovolemic shock (...) BP = 70/40 mmHg, pulse 120 beats per minute, with altered consciousness (Glasgow Coma Scale = 13). She has a history of missed abortion at 19 weeks gestation and an attempt to evacuate the uterus with misoprostol that led to uterine rupture. She underwent a total abdominal hysterectomy and blood transfusion. Her post-operative stay in hospital was uneventful.Uterine rupture is a complication that can be eliminated under conditions of best obstetric practice. To attain this objective, use

2016 BMC research notes

82. Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin Full Text available with Trip Pro

Uterine Rupture with Cesarean Scar Heterotopic Pregnancy with Survival of the Intrauterine Twin Background. Heterotopic pregnancy is a multiple gestation with both intrauterine and ectopic fetuses. A cesarean scar ectopic pregnancy is when the fetus has implanted over the previous hysterotomy site. A known complication of cesarean scar ectopic pregnancy is uterine rupture, which can cause great morbidity and mortality. Case. 28-year-old G5P3105 at 10 weeks with a dichorionic diamniotic (...) gestation was found to have a ruptured uterus with expulsion of a cesarean scar ectopic pregnancy and retention of the intrauterine fetus. After uterine repair, the singleton gestation reached viability was delivered by emergent cesarean section for placental abruption. Conclusion. Safe management of cesarean ectopic pregnancy requires early diagnosis by ultrasonography. With early detection, management can focus on preventing maternal morbidity of uterine rupture and life-threatening hemorrhage.

2016 Case reports in obstetrics and gynecology

83. Combined uterine and urinary bladder rupture: an unusual complication of obstructed labor in a primigravida Full Text available with Trip Pro

Combined uterine and urinary bladder rupture: an unusual complication of obstructed labor in a primigravida Combined uterine and urinary bladder rupture following prolonged obstructed labor is indeed a momentous uro-obstetric emergency. The urinary bladder involvement is distinctly rare in the absence of factors that predispose the bladder to be adherent to the lower uterine segment and is quite unusual in a primigravida.To report a rare case of uterine rupture involving urinary bladder (...) secondary to a prolonged obstructed labor in a primigravida from a low resource setting.A 17-year-old married unbooked primigravida who presented with a 3-day history of spontaneous onset of labor at term that was initially managed at home and later in a primary health care center where she had fundal pressure and oxytocin augmentation, respectively. The labor was complicated by combined uterine and urinary bladder rupture with sepsis. She was resuscitated and had exploratory laparotomy with uterine

2016 International journal of women's health

84. Retrospective Study of 110 Cases of Uterine Rupture to Determine Obstetric and Neonatal Complications

Retrospective Study of 110 Cases of Uterine Rupture to Determine Obstetric and Neonatal Complications Retrospective Study of 110 Cases of Uterine Rupture to Determine Obstetric and Neonatal Complications - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Retrospective Study of 110 Cases of Uterine Rupture to Determine Obstetric and Neonatal Complications (RUVO) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03052686 Recruitment Status : Completed First Posted : February 14, 2017 Last Update Posted

2016 Clinical Trials

85. Outcomes of Uterine Rupture

Outcomes of Uterine Rupture Outcomes of Uterine Rupture - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Outcomes of Uterine Rupture The safety and scientific validity of this study is the responsibility (...) of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02878226 Recruitment Status : Completed First Posted : August 25, 2016 Last Update Posted : June 27, 2018 Sponsor: Assiut University Information provided by (Responsible Party): Ahmed Mohamed Abbas, Assiut University Study Details Study Description Go to Brief Summary: Uterine rupture (UR) is a serious, life-threatening obstetric

2016 Clinical Trials

86. [Lower Uterine Segment Trial: A pragmatic open multicenter randomized trial]. (Abstract)

; in the control group, ultrasound LUS measurement will not be performed. The mode of delivery will be decided according to standard practice at the center. The primary composite outcome will include: uterine rupture, uterine dehiscence, hysterectomy, thromboembolic complications, transfusion, endometritis, maternal mortality, fetal prenatal and intrapartum mortality, hypoxic-ischemic encephalopathy and neonatal mortality.This trial assesses the efficacy of ultrasound measurement of the lower uterine segment (...) [Lower Uterine Segment Trial: A pragmatic open multicenter randomized trial]. The data from literature show that trial of labor and elective repeat cesarean delivery after a prior cesarean delivery both present significant risks and benefits, and these risks and benefits differ for the woman and her fetus. The benefits to the woman can be at the expense of her fetus and vice-versa. This uncertainty is compounded by the scarcity of high-level evidence that preclude accurate quantification

2018 Gynecologie, obstetrique, fertilite & senologie Controlled trial quality: uncertain

87. Spontaneous Posterior Uterine Rupture in Twin-Twin Transfusion Syndrome Full Text available with Trip Pro

Spontaneous Posterior Uterine Rupture in Twin-Twin Transfusion Syndrome Background The maternal and fetal risks of uterine distension in rapidly progressive twin-twin transfusion syndrome (TTTS) in the setting of prior uterine scar are poorly characterized. Case We present the case of a 42-year-old woman, G4P1201, at 21 weeks gestation with stage-1 TTTS who developed a spontaneous posterior uterine rupture necessitating emergent laparotomy and delivery of previable fetuses, possibly due (...) to prior uterine scar from a displaced intrauterine device. Conclusion TTTS may be a risk factor for uterine rupture, including uterine rupture in atypical anatomic locations. Prior unrecognized uterine scars, including perforations, may magnify the risk for atypical uterine rupture in the setting of excessive uterine distension.

2015 AJP Reports

88. Neonatal outcomes after the obstetric near-miss events uterine rupture, abnormally invasive placenta and emergency peripartum hysterectomy - prospective data from the 2009-2011 Finnish NOSS study. (Abstract)

Neonatal outcomes after the obstetric near-miss events uterine rupture, abnormally invasive placenta and emergency peripartum hysterectomy - prospective data from the 2009-2011 Finnish NOSS study. Neonatal outcomes after the maternal obstetric near-miss complications of uterine rupture, abnormally invasive placenta, and emergency peripartum hysterectomy were assessed.This case-control study was conducted as part of the Nordic Obstetric Surveillance Study (NOSS). Data on 211 newborns from 197 (...) (OR) 12.5, 95% confidence interval (CI) 6.32-24.9]. In addition, there were two neonatal deaths. The majority of cases (n = 8, 80%) were connected to uterine rupture. The risk of severe birth asphyxia diagnosis was increased compared with controls (n = 17, 8.1% vs. 0.1%, OR 137, 95% CI 82.7-226). A low umbilical artery pH (<7.05) was also observed among these neonates (28.8% vs. 1.0%, OR 28.7, 95% CI 21.5-38.2). Post-term pregnancies were relatively common among the uterine rupture cases. Adverse

2015 Acta Obstetricia et Gynecologica Scandinavica

89. Spontaneous uterine rupture in the 35th week of gestation after laparoscopic adenomyomectomy Full Text available with Trip Pro

Spontaneous uterine rupture in the 35th week of gestation after laparoscopic adenomyomectomy Uterine rupture rarely occurs during pregnancy, but it is a critical situation if so. It is already known that a history of uterine surgeries, such as cesarean section or myomectomy, is a risk factor for uterine rupture. Currently, the laparoscopic adenomyomectomy is a widely performed procedure, but associated risks have not been defined. We observed a case of spontaneous uterine rupture in a patient (...) during the 35th week of gestation, after a laparoscopic adenomyomectomy. A 42-year-old, gravida 2, para 0 woman became pregnant after a laparoscopic adenomyomectomy and her pregnancy was conventional. At a scheduled date in the 35th week of gestation, after combined spinal epidural anesthesia and frequent uterine contractions, a weak pain suddenly ensued. After 13 minutes of uterine contractions, vaginal bleeding was evident. A cesarean section was performed, and the uterine rupture was found

2015 International medical case reports journal

90. Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report. Full Text available with Trip Pro

Uterine rupture disguised by urinary retention following a second trimester induced abortion: a case report. Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock.We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. The uterine rupture (...) was contained by dense adhesions between the omentum and bladder with the previous uterine cesarean hysterotomy scar.This case highlights the difficulties in diagnosis of abnormal placentation and an unusual presentation of uterine rupture. This case was managed successfully laparoscopically.

2015 BMC Women's Health

91. Delayed Presentation Of Uterine Rupture Postpartum. (Abstract)

Delayed Presentation Of Uterine Rupture Postpartum. 25584787 2015 07 27 2016 11 25 1097-6868 212 5 2015 May American journal of obstetrics and gynecology Am. J. Obstet. Gynecol. Delayed presentation of uterine rupture postpartum. 680.e1-2 10.1016/j.ajog.2015.01.020 S0002-9378(15)00021-6 Narasimhulu Deepa M DM Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY. Electronic address: dnarasimhulu@maimonidesmed.org. Shi Susan S Department of Obstetrics and Gynecology (...) , Maimonides Medical Center, Brooklyn, NY. eng Case Reports Journal Article 2015 01 10 United States Am J Obstet Gynecol 0370476 0002-9378 AIM IM Adult Female Humans Obstetric Labor Complications Postpartum Period Pregnancy Tomography, X-Ray Computed Ultrasonography Uterine Rupture diagnostic imaging Vaginal Birth after Cesarean 2014 09 04 2014 12 29 2015 01 09 2015 1 14 6 0 2015 1 15 6 0 2015 7 28 6 0 ppublish 25584787 S0002-9378(15)00021-6 10.1016/j.ajog.2015.01.020

2015 American Journal of Obstetrics and Gynecology

92. Uterine rupture risk after periviable cesarean delivery. Full Text available with Trip Pro

Uterine rupture risk after periviable cesarean delivery. To investigate the risk of uterine rupture in women with prior periviable cesarean delivery and prior term cesarean delivery independent of initial incision type.We conducted a retrospective longitudinal cohort study using Washington state birth certificate data and hospital discharge records, identifying primary cesarean deliveries performed at 20-26 weeks and 37-41 weeks of gestation with subsequent delivery between 1989 and 2008. We (...) compared subsequent uterine rupture risk in the two groups considering both primary incision type and subsequent labor induction and augmentation.We identified 456 women with index periviable cesarean delivery and 10,505 women with index term cesarean delivery. Women with index periviable cesarean delivery were younger, more frequently of nonwhite race, more likely to smoke, and more likely to have hypertension. Women in the periviable group had more index classical incisions (42% compared with 1%, P

2015 Obstetrics and Gynecology

93. The Nordic Obstetric Surveillance Study: a study of complete uterine rupture, abnormally invasive placenta, peripartum hysterectomy, and severe blood loss at delivery. Full Text available with Trip Pro

The Nordic Obstetric Surveillance Study: a study of complete uterine rupture, abnormally invasive placenta, peripartum hysterectomy, and severe blood loss at delivery. To assess the rates and characteristics of women with complete uterine rupture, abnormally invasive placenta, peripartum hysterectomy, and severe blood loss at delivery in the Nordic countries.Prospective, Nordic collaboration.The Nordic Obstetric Surveillance Study (NOSS) collected cases of severe obstetric complications (...) complications were reported in 1019 instances among 605 362 deliveries during the study period. The reported rate of severe blood loss at delivery was 11.6/10 000 deliveries, complete uterine rupture was 5.6/10 000 deliveries, abnormally invasive placenta was 4.6/10 000 deliveries, and peripartum hysterectomy was 3.5/10 000 deliveries. Of the women, 25% had two or more complications. Women with complications were more often >35 years old, overweight, with a higher parity, and a history of cesarean delivery

2015 Acta Obstetricia et Gynecologica Scandinavica

94. Uterine rupture: trends over 40 years. (Abstract)

Uterine rupture: trends over 40 years. To follow trends of uterine rupture over a period of 40 years in Norway.Population-based study using data from the Medical Birth Registry, the Patient Administration System, and medical records.Norway.Women giving birth in 21 maternity units in Norway during the period 1967-2008 (n = 1 441 712 maternities).The incidence and outcomes of uterine rupture were compared across four decades: 1967-1977; 1978-1988; 1989-1999; and 2000-2008. Multivariable logistic (...) regression was used to determine the odds ratio (OR) for uterine rupture in each decade compared with the second decade.Trends in uterine rupture.We identified 359 uterine ruptures. The incidence rates per 10 000 maternities in the first, second, third, and fourth decade were 1.2, 0.9, 1.7, and 6.1, respectively. The ORs for complete and partial ruptures in the fourth versus the second decade were 6.4 (95% confidence interval, 95% CI 3.8-10.8) and 7.2 (95% CI 4.2-12.3), respectively. Significant

2015 BJOG

95. Gestational choriocarcinoma with uterine serosal metastasis mimicking ruptured ectopic pregnancy: A case report Full Text available with Trip Pro

Gestational choriocarcinoma with uterine serosal metastasis mimicking ruptured ectopic pregnancy: A case report Primary gestational choriocarcinoma is commonly present in the uterus in cases of atypical genital bleeding. Symptoms similar to those of an ectopic pregnancy develop when an extra-uterine lesion is present in the abdominal cavity, and lesions have been detected in the ovaries and fallopian tubes in a number of cases. In the present study, we describe a patient with choriocarcinoma (...) that metastasized to the uterine serosa and caused symptoms similar to those of an ectopic pregnancy. The patient was a 30-year-old female who presented to our hospital with atypical genital bleeding and a positive pregnancy test 3 months after missed abortion at 10 weeks of gestation. Transvaginal ultrasonography revealed the absence of a gestational sac in or outside the uterus, and intra-abdominal bleeding was noted. An ectopic pregnancy was suspected based on these findings, and emergency laparotomy

2015 Oncology letters

96. An unusual presentation of recurrent uterine rupture during pregnancy Full Text available with Trip Pro

An unusual presentation of recurrent uterine rupture during pregnancy We describe a case of recurrent uterine rupture at the site of a previous rupture. Our patient had a history of right interstitial pregnancy with spontaneous uterine fundal rupture at 18 weeks of pregnancy. During her subsequent pregnancy, she was monitored closely by a senior consultant obstetrician. The patient presented at 34 weeks with right hypochondriac pain. She was clinically stable and fetal monitoring showed (...) no signs of fetal distress. Ultrasonography revealed protrusion of the intact amniotic membranes in the abdominal cavity at the uterine fundus. Uterine rupture is a rare but hazardous obstetric complication. High levels of caution should be exercised in patients with a history of prior uterine rupture, as they may present with atypical symptoms. Ultrasonography could provide valuable information in such cases where there is an elevated risk of uterine rupture at the previous rupture site.

2015 Singapore medical journal

97. Massive hemoperitoneum following spontaneous rupture of an arterial aneurysm overlying a uterine myoma Full Text available with Trip Pro

Massive hemoperitoneum following spontaneous rupture of an arterial aneurysm overlying a uterine myoma Intraperitoneal hemorrhage caused by a uterine myoma is rare. A 54-year-old woman was admitted to the emergency room; on admission, she was in cardiopulmonary arrest with pulseless electrical activity. Transabdominal ultrasonography revealed hyperechoic fluid filled almost the entire abdominal cavity. On contrast-enhanced computed tomography, extravasation of contrast material was observed (...) inside the fluid, although the bleeding site was not identifiable. An emergency operation was performed to stabilize the patient. There was pulsating bleeding from a subserosal myoma on the posterior wall of the uterus; the myoma measured approximately 6 cm in maximum diameter. After resection of the myoma, the bleeding stopped. Pathological assessment of the resected specimen revealed a ruptured arterial aneurysm, approximately 8 mm in diameter, situated on the surface of a leiomyoma without

2015 International journal of clinical and experimental medicine

98. Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. (Abstract)

Maternal and fetal morbidity associated with uterine rupture of the unscarred uterus. We sought to report obstetric and neonatal characteristics and outcomes following primary uterine rupture in a large contemporary obstetric cohort and to compare outcomes between those with primary uterine rupture vs those with uterine rupture of a scarred uterus.This was a retrospective case-control study. Cases were defined as women with uterine rupture of an unscarred uterus. Controls were women (...) with uterine rupture of a scarred uterus. Demographics, labor characteristics, and obstetric, maternal, and neonatal outcomes were compared. Primary rupture case outcomes were also compared by mode of delivery.There were 126 controls and 20 primary uterine rupture cases. Primary uterine rupture cases had more previous live births than controls (3.6 vs 1.9; P < .001). Cases were more likely to have received oxytocin augmentation (80% vs 37%; P < .001). Vaginal delivery was more common among cases (45% vs 9

2015 American Journal of Obstetrics and Gynecology

99. Dilation and evacuation after preterm premature rupture of membranes with abdominal cerclage in situ. (Abstract)

Dilation and evacuation after preterm premature rupture of membranes with abdominal cerclage in situ. For women with a history of cervical insufficiency, treatment with transvaginal (TV) or abdominal (TA) cerclage is often recommended; however management of pregnancy complications necessitating uterine evacuation in the second trimester are challenging. We present a patient at 17 weeks 3 day gestation with preterm premature rupture of membranes, and chorioamnionitis with an abdominal cerclage (...) in situ. She desired uterine evacuation via dilation and evacuation. This case report reviews the clinical considerations for uterine evacuation in the second trimester in patients with an abdominal cerclage in situ and discusses options for cervical preparation prior to dilation and evacuation for this unique patient population.Copyright © 2020 Elsevier Inc. All rights reserved.

2020 Contraception

100. The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience. Full Text available with Trip Pro

) than that of Type B patients (10 weeks). The rudimentary uterine horn carried 4 of 5 (80%) pregnancies in the communicating group. Three case of rudimentary horn pregnancies ruptured before a gestational age of 12 weeks, and one abortion occurred after a gestational age of 12 weeks. In the noncommunicating group, 7 of 17 (41.2%) cases were RHPs, and 3 ruptured after a gestational age of 12 weeks.The diagnosis and management of the rudimentary uterine horn continues to be challenging. Medical (...) The pregnancy outcomes of patients with rudimentary uterine horn: A 30-year experience. To evaluate the presentation, assessment, treatment, and pregnancy outcomes of 22 women with a rudimentary uterine horn.We reviewed the data regarding the outcomes of patients with a rudimentary horn pregnancy (RHP) who were managed at Peking Union Medical College Hospital over the last 30 years. Twenty-two pregnant patients with a rudimentary horn have been treated at our institute over the last 30 years

2019 PLoS ONE

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